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What’s Causing Your Throbbing Toothache?

There are few more painful experiences than a toothache. You can’t ignore it: it’s as if your mouth is screaming for relief.
But while the throbbing pain can tell you something’s wrong, it may not be clear exactly what’s wrong. There’s more than one possibility “” it could be with the tooth itself, the gums around the tooth or a combination of both.
In the first case, a toothache could be a sign of severe tooth decay within the tooth’s innermost layer, the pulp. The pain you feel comes from the nerves within the pulp under attack from the infection.
For this level of decay there’s one primary way to save the tooth and stop the pain: a root canal treatment. In this procedure we remove all the infected and dead tissue from the pulp and fill the empty chamber and root canals with a special filling. We then seal and crown the tooth to prevent further infection.
Another source of toothache happens when your gums have become painfully inflamed due to infection. This is usually caused by periodontal (gum) disease, triggered by a thin film of bacteria and food particles on tooth surfaces known as plaque. In this case, we must remove all plaque and calculus (hardened plaque deposits) from tooth and gum surfaces, including on the roots. Your gums can then heal and return to health.
But your situation could be more complex. Untreated tooth decay can advance to the roots and subsequently infect the gums. Likewise advanced gum disease can pass the infection from the gums to the root and into the pulp. For such cases you may need a specialist, either an endodontist specializing in root canal issues or a periodontist specializing in the gums. They can better diagnose the origin and extent of the problem and offer advanced techniques and treatments to deal with it.
It’s possible in these more complex situations your tooth has become diseased beyond repair and must be replaced. It’s important, then, that you see us if you experience any significant tooth pain, even if it seems to go away. The sooner we diagnose and begin treating the cause of your pain, the better your chances of regaining your dental health.
If you would like more information on treating dental disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Confusing Tooth Pain.”

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Dental Arts Studio of Cape Cod

North Eastham, MA
55 Oak Road North Eastham, MA 02651

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West Harwich, MA
129 MA-28, WEST HARWICH, MA 02671

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Monday – Friday: 8:00am – 6:00pm
Saturday – Sunday: On-call emergencies

Dmitry L.
Highly recommend Dr.Pokrovskaya. She is always on time, professional and knowledgable. Doctor Pokrovskaya uses the latest techniques and equipment. Very easy to locate, convenient hours.
Al S.
Hands-down the best Dentist on Cape Cod! When I called on a Friday afternoon just before they closed they accepted us as a new patient with one of my children who had an emergency. Her staff was very kind and considerate Dr. Nadia went above and beyond to make my child feel comfortable. She took her time to explain everything to her mother and I. I would unequivocably recommend her practice!
Jamie N.
Not only is Dr. Pokrovskaya brilliant, but she is caring and gentle. After talking to her about my dental concerns I am confident in placing my trust in her expertise and skill. She takes the time to really consider what is right for you in your unique situation. She has so many skills that she can include in her assessment of what is needed and that makes her a top notch professional.
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